Active NPI
Samuel James Nemati, FNP
- Primary Care Nurse Practitioner
- Kilgore, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F06240651
- Practice address
- 5174 FM 1252 W
Kilgore, TX 75662-1961 - Phone
- (903) 986-1901
- Fax
- (903) 984-6151
- NPI assigned
- Nov 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 958871 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | F06240651 | TX | Primary |
Addresses
Primary practice location
5174 FM 1252 W
Kilgore, TX 75662-1961
Mailing address
5174 FM 1252 W
Kilgore, TX 75662-1961
Phone (903) 986-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
802 Medical Dr
Suite 205
Longview, TX 75605-5208
Phone (903) 291-6280
Hospital & facility affiliations
- Elite Home Health
- Accentcare Home Health of Texas
- Longview Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 958871 | TX | MD | Critical Care Medicine Registered Nurse |
| F06240651 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Clinics of Longview | Current | Accepting new patients | |
| Diagnostic Clinic of Longview PA | Past | Accepting new patients |
Locations
5174 FM 1252 W
Kilgore, TX 75662
Phone (903) 315-5600
802 Medical Cir
Ste 205
Longview, TX 75605
Phone (903) 291-6209
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808
Interoperability endpoints
- https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
- samuel.nemati.1@16432.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1407047863
-
- Internal Medicine Physician
- Longview, TX
- NPI 1386638468
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
-
- Home Health Agency
- Longview, TX
- NPI 1669695722
-
- Home Health Agency
- Longview, TX
- NPI 1932263787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1275299661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5174 FM 1252 W",
"city": "KILGORE",
"state": "TX",
"postal_code": "756621961",
"telephone_number": "903-986-1901",
"fax_number": "903-984-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5174 FM 1252 W",
"city": "KILGORE",
"state": "TX",
"postal_code": "756621961",
"telephone_number": "903-986-1901",
"fax_number": "903-984-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMATI",
"first_name": "SAMUEL",
"middle_name": "JAMES",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "958871",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "F06240651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kilgore, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.